Evaluation of the Donor Site in Patients who Underwent Reconstruction with a Free Radial Forearm Flap
Autor: | Yasumi Saso, Osamu Ito, Gan Muneuchi, Shigehiko Suzuki, Yuiro Hata, Susam Park, Hiroharu H. Igawa, Takeshi Kawazoe, Masayuki Onodera |
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Rok vydání: | 2005 |
Předmět: |
Adult
Male medicine.medical_specialty Scars Free flap Wrist Risk Assessment Surgical Flaps Cohort Studies Forearm medicine Humans In patient Aged Wound Healing Radial forearm flap Groin business.industry Skin Transplantation Middle Aged Plastic Surgery Procedures Tissue Donors Surgery Fasciocutaneous flap medicine.anatomical_structure Head and Neck Neoplasms Female medicine.symptom business Follow-Up Studies |
Zdroj: | Journal of Reconstructive Microsurgery. 21:113-117 |
ISSN: | 1098-8947 0743-684X |
DOI: | 10.1055/s-2005-864844 |
Popis: | A major disadvantage of free radial forearm flaps is the conspicuous donor site. However, there have been few studies on donor scars. The authors evaluated the donor site in patients who underwent oral-floor reconstruction with a free radial forearm flap. The subjects were 23 patients (19 males and four females) who underwent reconstruction with a free radial forearm flap following resection of a malignant oral tumor, and were followed for 1 year or longer. The fasciocutaneous flap collection site was closed by full-thickness skin graft (FTSG) from the groin with tie-over dressing. All grafts took perfectly. At the scar at the donor site, five items (pigmentation, scar width, depression, wrist mobility, and sensory abnormalities) were evaluated. Depression and pigmentation were often observed, but patient dissatisfaction was slight. While their main postoperative concern was the oral reconstruction site, after about 1 year, the donor site became more important to patients. However, the results were good. A 100 percent take of the FTSG at the donor site should produce good results. Surgeons should pay adequate attention not only to the outcome at the reconstruction site, but also to the closure of the donor site. |
Databáze: | OpenAIRE |
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